Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.06 / $8,553.00 / $11,627.00	Facility		$196.06	$8,553.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.49 / $196.06 / $470.54	Professional		$191.49	$196.06	$470.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.92 / $244.48 / $449.79	Professional		$182.92	$244.48	$449.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $174.32 / $230.90 / $285.77	Facility		$174.32	$230.90	$285.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $205.07 / $316.93	Professional		$161.62	$205.07	$316.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.71 / $257.61 / $391.59	Professional		$181.71	$257.61	$391.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $186.47 / $261.06 / $391.59	Professional		$186.47	$261.06	$391.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.02 / $142.52 / $165.32	Professional		$114.02	$142.52	$165.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.02 / $241.22 / $425.99	Professional		$166.02	$241.22	$425.99